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	<title>升级会员</title>
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		<h1>升级会员</h1>
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		<h2>正航兴救VIP会员信息</h2>
		<form method="post" enctype="multipart/form-data" action="">
			<p><span style="color: red">*</span>会员姓名：<input type="text" name="username" size="20"></p>
			<p><span style="color: red">*</span>会员性别：<input type="text" name="gender" size="20"></p>
			<p><span style="color: red">*</span>会员电话：<input type="text" name="usertel" size="20" maxlength="11""></p>
			<p><span style="color: red">*</span>身份证号：<input type="text" name="userno" size="20" ></p>
			<p><span style="color: red">*</span>会员血型：<input type="text" name="userxx" size="20" ></p>		
			<p><span style="color: red">*</span>病史：<input type="text" name="sick" size="20" ></p>		
			<p><span style="color: red">*</span>紧急联系人：<input type="text" name="name1" size="20" ></p>		
			<p><span style="color: red">*</span>紧急联系人电话：<input type="text" name="name1tel" size="20" maxlength="11"></p>
			<p><span style="color: red">*</span>保单号:<input type="text" name="dannum" size="20"></p>				
			<p><span style="color: red">*</span>保险公司：<input type="text" name="company" size="20"></p>				
			<p><span style="color: red">*</span>车牌号：<input type="text" name="chepai" size="20" maxlength="9""></p>			
			<p><span style="color: red">*</span>VIN码：<input type="text" name="vin" size="20" ></p>			
			<p><span style="color: red">*</span>发动机号：<input type="text" name="fdjnum" size="20"></p>			
			<p><span style="color: red">*</span>保险代理公司：<input type="text" name="dlcompany" size="20"></p>			
		</form>
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		<h2 class="block">服务</h2>
		<div class="block xiushi"><img src="images/u683.png"><p>升级全国会员</p></div>
		<p>全国会员优势</p>
		<hr>
		<ol>
			<li>1.优势1</li>
			<li>2.优势2</li>
			<li>3.优势3</li>
		</ol>
		<button type="submit" class="bt" onclick="window.location.href='zhanglinlin-quanguohuiyuan.html'"">下一步，填写全国会员卡信息</button>
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